| NPI | 1407158280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202009936) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 134971) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |