| NPI | 1952854382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053008) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 68574) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |