| NPI | 1073140307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0010903) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 052406) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |