| NPI | 1558684852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051406) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH21046) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |