| NPI | 1720669583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 066901) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202218841) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |