| NPI | 1174846703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 20 054175) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0021992) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2020-06-25 |