| NPI | 1447654116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 13216) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri02031400) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |