| NPI | 1962725978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 038854) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 19377) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2011-09-20 |