| NPI | 1790001493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 040435-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 37818) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |