| NPI | 1184020356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 47299) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 059948) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |