| NPI | 1427206168 |
|---|---|
| Former Name | JAMIYLA RONNIQUE BRACEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18911) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03035400) |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2008-09-06 |