| NPI | 1609198639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 050037-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302034560) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |