| NPI | 1154895290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0014215) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 065038) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2023-09-28 |