| NPI | 1891306296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 068547) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 29753) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2022-06-22 |