| NPI | 1710077862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 0486281) |
| Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: NY 0486281) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |