| NPI | 1376896316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 54294) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056275) |
| 183500000X Pharmacist (Licence: NJ 03190200) | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2020-11-03 |