| NPI | 1881885812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051818) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS45514) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2011-10-03 |