| NPI | 1215672936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 067813-I) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202213437) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |