| NPI | 1831508209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 056367) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 058437) |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2022-10-25 |