| NPI | 1770908881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 059992) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0012377) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2016-03-24 |