| NPI | 1922410901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S017033) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 049071) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |