| NPI | 1386074656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18282) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053066) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |