| NPI | 1750879243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 063817) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03715300) |
| 183500000X Pharmacist (Licence: IL 051.297099) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |