| NPI | 1114751336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 069791) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP458070) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |