| NPI | 1629391917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 049195) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 34129) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2012-12-14 |