| NPI | 1447314430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 047154) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 010460) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2013-02-15 |