| NPI | 1174092258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 064301) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH031679) |
| Enumeration Date | 2018-11-18 |
| Last Update Date | 2020-02-20 |