| NPI | 1215486808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0023179) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 061808) |
| 183500000X Pharmacist (Licence: NJ 28RI03808700) | |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2021-10-22 |