| NPI | 1336377092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 052669) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 36569) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2020-01-02 |