| NPI | 1235564717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22457) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 062845) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2019-06-19 |