| NPI | 1003241795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP448290) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03583900) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2020-11-07 |