| NPI | 1356065254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 067976) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0134779) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |