| NPI | 1508967555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2014030493) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 037877) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-10-10 |