| NPI | 1407064595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 048152) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS39975) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2010-03-04 |