| NPI | 1689909160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057934) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 11886) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2019-06-19 |