| NPI | 1194047639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 046153-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 0461531) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2019-10-02 |