| NPI | 1396249454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062527-1) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NY 007274) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |