| NPI | 1285341131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 069312) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps64539) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2023-10-22 |