| NPI | 1982972527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP445118) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056717) |
| Enumeration Date | 2011-12-10 |
| Last Update Date | 2013-12-16 |