| NPI | 1417003666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 040686) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 25244) |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2007-07-08 |