| NPI | 1891125811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 49477) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 0575171) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |