| NPI | 1700101284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 035915-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03068900) |
| 183500000X Pharmacist (Licence: CA RPH37191) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |