| NPI | 1063987444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302044371) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY I060976) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |