| NPI | 1003268939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT Pct.0013526) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 061438) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2016-07-10 |