| NPI | 1992130652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 33309) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 044276) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2024-12-16 |