| NPI | 1609321322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061591) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 71344) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |