| NPI | 1982979985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 45423) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 055043) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2013-04-04 |