| NPI | 1629851183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP457104) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 070404) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |