| NPI | 1093250219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH237184) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 065114) |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2020-08-21 |