| NPI | 1871774026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT0011279) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 050786) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2013-08-29 |