| NPI | 1013568831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS60275) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 065847) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2021-01-04 |