| NPI | 1689825242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 14560) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 041947-1) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |