| NPI | 1124865951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 070568) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302415638) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |