| NPI | 1477735223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 10279) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 20 050809) |
| 183500000X Pharmacist (Licence: CA 52841) | |
| 183500000X Pharmacist (Licence: MN 116424) | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2017-05-02 |