| NPI | 1356758452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 058657) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 73062) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2017-04-19 |