| NPI | 1548671357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 060090) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22501) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2017-03-30 |