| NPI | 1487935797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 025619) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 11347) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |