| NPI | 1720300858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 049950) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014809) |
| 183500000X Pharmacist (Licence: AR pd11191) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |