| NPI | 1821330770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 54546) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03507700) |
| 183500000X Pharmacist (Licence: NY 057766) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2020-12-07 |