| NPI | 1376885053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051855) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 56762) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |