| NPI | 1992983266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 048088) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 35603) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |