| NPI | 1174729073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 040656) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 0029292) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-07-08 |