| NPI | 1750998928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 065926) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202218774) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2021-04-19 |