| NPI | 1578988770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 8423834) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 058916) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2022-02-02 |