| NPI | 1043726334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 063883) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0014292) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2023-01-28 |