| NPI | 1194991935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 52949) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 45731) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2021-05-29 |