| NPI | 1043936958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH238737) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 064478) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |