| NPI | 1326609801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 064619) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 80800) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2026-04-16 |