| NPI | 1871219543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 056901) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2020014474) |
| 183500000X Pharmacist (Licence: KS 1-110119) | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |