| NPI | 1104394923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 25122) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 063055) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2019-05-09 |