| NPI | 1780988402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12779) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 20576) |
| 183500000X Pharmacist (Licence: NY 054464) | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |