| NPI | 1780974014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055193) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 34549) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |