| NPI | 1124659693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 063998) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH237653) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |