| NPI | 1063910263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 063773) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051299632) |
| 183500000X Pharmacist (Licence: OH 03135603) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |