| NPI | 1639391394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 042174-1) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-07-21 |