| NPI | 1063236644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 069828) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202222071) |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-15 |