| NPI | 1710382999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 28059536) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 059536) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |