| NPI | 1528694569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 19178) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 060210) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2020-03-22 |