| NPI | 1942523865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053447) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45832) |
| 183500000X Pharmacist (Licence: GA RPH024158) | |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-17 |