| NPI | 1174119952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0015486) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 067450) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2021-09-25 |