| NPI | 1487915807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03489000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18422) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2023-09-21 |