| NPI | 1518389964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 9018) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 048310-1) |
| Enumeration Date | 2014-01-19 |
| Last Update Date | 2014-03-12 |