| NPI | 1790153575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 060839) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 23534) |
| 183500000X Pharmacist (Licence: CT PCT.0013505) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |