| NPI | 1174147565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P9070) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY I068281-01) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2025-10-09 |