| NPI | 1447657952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202213265) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 0594441) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |