| NPI | 1376251694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 068861) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S024447) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |