| NPI | 1609394600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45694) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053985) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2025-09-08 |