| NPI | 1467230045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 068258-01) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 43482) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-12-17 |