| NPI | 1124340534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 42489) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03183700) |
| 183500000X Pharmacist (Licence: NY 053381) | |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2019-12-18 |