| NPI | 1932883212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 33660) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 070369) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-08-09 |