| NPI | 1780060863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 25502) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 060821) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |