| NPI | 1811297914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 333584) |
| Additional Taxonomies | 281PC2000X Chronic Disease Hospital, Children (Licence: NY 333584) |
| 282N00000X General Acute Care Hospital (Licence: NY 333584) | |
| Enumeration Date | 2010-10-24 |
| Last Update Date | 2010-10-24 |