| NPI | 1487712725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 030166) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 6541) |
| 183500000X Pharmacist (Licence: FL PS23608) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |