| NPI | 1184278517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 065415) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 23103) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |