| NPI | 1699043919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057733) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007915) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2014-01-28 |