| NPI | 1740797224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1105982171) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: NY 30237921) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2023-07-24 |