| NPI | 1710209986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 0534921) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19132) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |