| NPI | 1174046023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 065298-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS56561) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2021-09-09 |