| NPI | 1679895429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 0521611) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH022301) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2017-09-10 |