| NPI | 1609398593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062206) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA 449622) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |