| NPI | 1134398399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 040771-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 54544) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2020-08-25 |