| NPI | 1902129703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055354) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0010901) |
| 183500000X Pharmacist (Licence: NJ 28RI03098200) | |
| 183500000X Pharmacist (Licence: FL PS37538) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2019-07-23 |