| NPI | 1215269261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 046572) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS33838) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |