| NPI | 1407325681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 21688) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 060383) |
| Enumeration Date | 2018-11-18 |
| Last Update Date | 2018-11-18 |