| NPI | 1558972240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 006798) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 066798) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2021-10-08 |