| NPI | 1730432063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057543) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 020446) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2014-05-29 |