| NPI | 1265702138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 059070) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03847700) |
| 183500000X Pharmacist (Licence: CT 0012114) | |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2022-12-18 |