| NPI | 1730782129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 056272) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps44194) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |