| NPI | 1932385861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 050077) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 17589) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2011-03-15 |