| NPI | 1962495028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202207843) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 050117) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2011-12-14 |