| NPI | 1427302033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 056257-I) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445976) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |