| NPI | 1336422138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA rp442842) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03347700) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2020-12-28 |