| NPI | 1659851137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 26024) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 063114) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |