| NPI | 1295459329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 059690) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 05969) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |