| NPI | 1548592033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I052160-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0003728) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |