| NPI | 1740380476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 42222) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 45606) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2010-11-23 |