| NPI | 1215532106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057648) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 233532) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |