| NPI | 1326497678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062584) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0013380) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2020-11-30 |