| NPI | 1518398411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 058721) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0012844) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2022-10-17 |