| NPI | 1508518093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053335-01) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0014409) |
| 183500000X Pharmacist (Licence: CA 60184) | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |