| NPI | 1518260926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054966I) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0014392) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2019-08-22 |