| NPI | 1962336719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0009621) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0135709) |
| 183500000X Pharmacist (Licence: RI RPH04267) | |
| 183500000X Pharmacist (Licence: NY 063695-01) | |
| 183500000X Pharmacist (Licence: AZ S026847) | |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-06-09 |