| NPI | 1619703097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 33412) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 073759) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2026-03-26 |