| NPI | 1477920890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 12330) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 56949) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2016-06-16 |