| NPI | 1760783997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054494) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0011096) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-30 |