| NPI | 1700202496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057477) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 49485) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |