| NPI | 1821468661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS63118) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 44395) |
| 183500000X Pharmacist (Licence: CT 10272) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2022-08-11 |