| NPI | 1609248442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 060327) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS42722) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |