| NPI | 1861955445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH80207) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |