| NPI | 1417519059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 065466) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 25746) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-04-01 |