| NPI | 1730595703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008294) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 059265) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2015-02-23 |