| NPI | 1811210792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps45251) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054108) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |