| NPI | 1558556100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 011936) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 42404) |
| 183500000X Pharmacist (Licence: NY 38967) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |