| NPI | 1093267692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03711000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 062501) |
| 183500000X Pharmacist (Licence: MA PH236903) | |
| 183500000X Pharmacist (Licence: TX 58145) | |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2017-04-13 |