| NPI | 1194329417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 3441) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 23966) |
| 183500000X Pharmacist (Licence: NY 050274) | |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2020-11-27 |