| NPI | 1992492763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 070074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 070074) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |