| NPI | 1154045631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055446) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 005446) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |