| NPI | 1275856361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 62582) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054039) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2022-12-18 |