| NPI | 1902445638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 065188) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 024430) |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2022-05-26 |