| NPI | 1881422368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 068772) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: NY 068772) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |