| NPI | 1306295498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT0012467) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 057880) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |