| NPI | 1548402068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS49785) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053270) |
| 183500000X Pharmacist (Licence: NV 17407) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2015-10-20 |