| NPI | 1124151204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 049709) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS47242) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-11-22 |