| NPI | 1710327168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 57299) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22525) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2014-08-14 |