| NPI | 1972889509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I056571-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19282) |
| 183500000X Pharmacist (Licence: VA 0202208109) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2023-08-17 |