| NPI | 1780131409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061971) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 113666) |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2020-03-02 |