| NPI | 1144523838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302033812) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 055280) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |