| NPI | 1679123038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 069885) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS55817) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2025-07-25 |