| NPI | 1396001020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 046686-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 12217) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |