| NPI | 1952702268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 058044) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 0094116) |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2020-07-13 |