| NPI | 1184908766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 066718) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202210207) |
| 183500000X Pharmacist (Licence: MD 19754) | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2021-12-09 |