| NPI | 1972198182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 067633) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: NY 067633) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-10 |