| NPI | 1689007783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 056533) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP447428) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2017-04-21 |