| NPI | 1629262092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 009689) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 046917-1) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2011-04-14 |