| NPI | 1780966713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0011692) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056693) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2019-10-24 |