| NPI | 1679053573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I064386) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 064386) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2023-12-29 |