| NPI | 1497025613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 060759) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0012699) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2016-01-13 |