| NPI | 1073015202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062953) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2012026228) |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2018-03-04 |