| NPI | 1780940700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22948) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056022) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2013-06-24 |