| NPI | 1790039006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP446420) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056642) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2019-08-25 |