| NPI | 1023871001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 1071339) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 071339) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2025-05-06 |