| NPI | 1942593181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 65636) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056271) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2021-10-28 |