| NPI | 1477967826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057393) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 22816) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2022-10-18 |