| NPI | 1144623232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS35657) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 045318) |
| 183500000X Pharmacist (Licence: NJ RI25753) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |