| NPI | 1821220724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I040053) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 15230) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-09-03 |