| NPI | 1275949166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061654) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 24241) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2018-03-17 |