| NPI | 1164732806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 063088) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 18628) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2017-09-13 |