| NPI | 1982205720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 067345) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY I067345) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2025-06-06 |