| NPI | 1659762987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 64175) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 059619) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2019-09-16 |