| NPI | 1164809026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 24529) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 060151) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2017-10-02 |