| NPI | 1518396506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 058395) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS47804) |
| 183500000X Pharmacist (Licence: OR RPH-0012377) | |
| 183500000X Pharmacist (Licence: VA 0202211381) | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2014-10-22 |