| NPI | 1831437292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061511) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS48815) |
| Enumeration Date | 2013-01-19 |
| Last Update Date | 2018-05-14 |