| NPI | 1275084675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23834) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 061938) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2021-09-22 |