| NPI | 1548617913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI01927900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP035052L) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |