| NPI | 1477831501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47551) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056769) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2014-09-15 |