| NPI | 1851980759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 071165) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 23192) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2024-06-07 |