| NPI | 1225442866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062654) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA rph026689) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2018-09-06 |