| NPI | 1457163396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835I0206X Pharmacist, Infectious Diseases (Licence: NY 072000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 072000) |
| 183500000X Pharmacist (Licence: MA PH1002240) | |
| 1835I0206X Pharmacist, Infectious Diseases (Licence: MA PH1002240) | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-07-07 |