| NPI | 1528372224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054493) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP442251) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2011-08-02 |