| NPI | 1770807752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 030853-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH013053) |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2010-03-20 |