| NPI | 1952787871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 20060746) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: NY 060746) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2025-06-18 |