| NPI | 1518146463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 046735) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302031717) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2020-03-24 |