| NPI | 1053435255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0046703) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI 2243) |
| 183500000X Pharmacist (Licence: NY I-054517-1) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2013-07-15 |