| NPI | 1992434658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP456159) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 067234) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |