| NPI | 1629474846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 059344) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE a1-0004594) |
| 183500000X Pharmacist (Licence: MD 22837) | |
| 183500000X Pharmacist (Licence: PA rp448729) | |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2014-11-16 |