| NPI | 1033939236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH997038) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 071726) |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2024-10-12 |