| NPI | 1649209164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23293) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 049853) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2015-11-03 |