| NPI | 1174983191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062488) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT0013556) |
| 183500000X Pharmacist (Licence: MA PH236026) | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2020-10-23 |