| NPI | 1083050561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057903) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH80140) |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2022-11-02 |