| NPI | 1215523485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0134483) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 067410) |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |