| NPI | 1841873205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 065488) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 25839) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |