| NPI | 1992193106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 8412917-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054636) |
| 183500000X Pharmacist (Licence: AK 2173) | |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |