| NPI | 1356525398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS57429) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 041676) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2021-12-09 |