| NPI | 1184874943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051935) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 10787) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2011-01-06 |