| NPI | 1497267975 |
|---|---|
| Former Name | JULIE ACOSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008844) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S022929) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2022-03-20 |