| NPI | 1245690577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0006355) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 037064-1) |
| 183500000X Pharmacist (Licence: RI 02991) | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |