| NPI | 1285386417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 068075) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP453906) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |