| NPI | 1861717720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 050521) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH027285) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2016-07-29 |