| NPI | 1467552075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 45981) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 42087) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-08 |