| NPI | 1407166861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 24599) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054626-1) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2016-12-08 |