| NPI | 1689265696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0134406) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 071387) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2026-04-24 |