| NPI | 1306372883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 064123) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 26306) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2019-06-12 |