| NPI | 1396067633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 046048) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS34595) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |