| NPI | 1275261414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0016282) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 069738) |
| 183500000X Pharmacist (Licence: WV RP0013222) | |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2024-01-08 |