| NPI | 1710358742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 060025) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 12676) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |