| NPI | 1245562461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055208) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps45177) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2022-08-22 |