| NPI | 1285021311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23741) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 060011) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |