| NPI | 1538406129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 056598) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007504) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |