| NPI | 1801025390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053010) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS36181) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2011-03-07 |