| NPI | 1649906991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 069229) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PTP.0000677) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2024-02-21 |