| NPI | 1730225012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 044614) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS31651) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |