| NPI | 1588956486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 25775) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 055534) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2025-08-25 |