| NPI | 1568782712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I063936) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0011095) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2021-05-04 |