| NPI | 1710301981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 058135) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S013055) |
| Enumeration Date | 2014-02-09 |
| Last Update Date | 2014-02-09 |