| NPI | 1760408553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 046682-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 2912) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |