| NPI | 1154256485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2026017913) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 071705) |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-06-17 |