| NPI | 1164513651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 028237-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 36327) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |