| NPI | 1275966657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03497200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60358303) |
| 183500000X Pharmacist (Licence: PA RP446775) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |