| NPI | 1548577380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 11994) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 18116) |
| 183500000X Pharmacist (Licence: NY 32164) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |