| NPI | 1386156800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 065376) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0014093) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2025-08-08 |