| NPI | 1447424049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 049851) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH235496) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2020-05-28 |