| NPI | 1831468099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS38617) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 20-048493) |
| Enumeration Date | 2011-12-17 |
| Last Update Date | 2011-12-17 |