| NPI | 1639566821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061270) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 75259) |
| 183500000X Pharmacist (Licence: MA PH238033) | |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2019-11-01 |