| NPI | 1902180425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057893) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0003974) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2020-12-23 |