| NPI | 1639610447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS25986) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 38266) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |