| NPI | 1154874410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RPI451949) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 061893) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2020-09-22 |