| NPI | 1245678713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055836) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23781) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2014-07-19 |