| NPI | 1902103237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055487) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP443236) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-09-16 |