| NPI | 1801764295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 91511) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 073154) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |