| NPI | 1215269436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054048-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S017838) |
| Enumeration Date | 2010-02-13 |
| Last Update Date | 2011-10-13 |