| NPI | 1508262759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 047116) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS34404) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |