| NPI | 1649481243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS40308) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 051405) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-12-23 |