| NPI | 1710397062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 058102) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS39417) |
| 183500000X Pharmacist (Licence: GA RPH021753) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |