| NPI | 1225350119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 056936) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 12445) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2020-06-24 |