| NPI | 1356184394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0012830) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 069262) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |