| NPI | 1871772343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055320) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS0037746) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2011-01-05 |