| NPI | 1063858181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP446102) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056643) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2018-05-29 |