| NPI | 1730957184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 070099) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 69436) |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |