| NPI | 1598081127 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 046381)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS31110)  | 
| 183500000X Pharmacist (Licence: NJ 28r102440000)  | |
| Enumeration Date | 2010-04-07 | 
| Last Update Date | 2010-04-07 |