| NPI | 1942595251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT pct.0011629) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056474) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-11-21 |