| NPI | 1629346754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 3435) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 041340-1) |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2011-12-04 |