| NPI | 1700193323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I054595-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 20054595) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2018-06-16 |