| NPI | 1164801759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202215302) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY I-059315-1) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-09-10 |