| NPI | 1952968174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0014144) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 063531) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |