| NPI | 1669786349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 56118) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054820) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2021-02-19 |