| NPI | 1689997843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 53810) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18536) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2011-03-29 |