| NPI | 1619351343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 066717) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202214120) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-05-10 |