| NPI | 1205468063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 65447) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 16457) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2021-05-05 |