| NPI | 1053845529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 17356) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 049792) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |