| NPI | 1215705587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0135627) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 071139) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2025-03-19 |