| NPI | 1932493673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051726) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0010752) |
| Enumeration Date | 2011-05-28 |
| Last Update Date | 2011-05-28 |