| NPI | 1558687657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202209495) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053440) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |