| NPI | 1437914736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 071280) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 024536) |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |