| NPI | 1679021034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I066491-01) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0015562) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2020-06-16 |