| NPI | 1366991465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 62208) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 062331) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2022-08-25 |