| NPI | 1447694690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52889) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03557000) |
| 183500000X Pharmacist (Licence: CA 70593) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2014-06-22 |