| NPI | 1437442407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055580) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RIO3384000) |
| 183500000X Pharmacist (Licence: FL PS45094) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2012-01-31 |