| NPI | 1932422037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055638) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: NY 086241) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2016-03-15 |