| NPI | 1730481987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0003253) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 050084-1) |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2012-11-09 |