| NPI | 1346894011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061436) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202214508) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2022-03-08 |