| NPI | 1518261817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051384) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps34344) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |