| NPI | 1043613391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 30214) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 058232) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2023-09-07 |