| NPI | 1922316363 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT0011326)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 055140)  | 
| Enumeration Date | 2010-09-20 | 
| Last Update Date | 2010-09-20 |