| NPI | 1912441007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061757) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0013494) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2017-02-09 |