| NPI | 1720636343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS61162) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 065726) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2025-06-16 |