| NPI | 1184160095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055915) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 47734) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |