| NPI | 1477878064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0008830) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 045762) |
| 183500000X Pharmacist (Licence: KS 1-10819) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |