| NPI | 1275897969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI01896700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP-035569T) |
| 183500000X Pharmacist (Licence: FL PS23942) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2021-02-23 |