| NPI | 1629391677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52597) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02925200) |
| 183500000X Pharmacist (Licence: NY 049547) | |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2022-02-25 |