| NPI | 1518275221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0012136) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054575) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2014-06-25 |