| NPI | 1790006260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 17030191) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 50675) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-08-03 |