| NPI | 1023840907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 071664) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH1000473) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |