| NPI | 1639612047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062131) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 1062131) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2020-07-12 |