| NPI | 1750603940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302412646) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 050213) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2021-01-17 |