| NPI | 1407132475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 32919) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056159) |
| Enumeration Date | 2011-10-22 |
| Last Update Date | 2026-03-10 |