| NPI | 1023779790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 069162) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0134604) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-01-24 |