| NPI | 1912331026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 058421) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 78286) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2021-02-13 |