| NPI | 1174156665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0014339) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 0063007) |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |