| NPI | 1457529224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 050857) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 10109) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |