| NPI | 1790008944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054071) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 43841) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |