| NPI | 1710060264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 048915-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 11598) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-10 |