| NPI | 1821407958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061639) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 55305) |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2018-08-15 |