| NPI | 1568875334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0087697) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 0572721) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |