| NPI | 1558565515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 09971) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 32935) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2011-07-14 |