| NPI | 1811251960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057834) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS46726) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2013-05-20 |