| NPI | 1811540578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I063774-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202214343) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-07-01 |