| NPI | 1548572753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057025-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 52981) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2014-04-06 |