| NPI | 1134724131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 065096) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 59206) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2022-02-19 |