| NPI | 1407131345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 017062) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03025800) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2024-12-17 |