| NPI | 1548666266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP448847) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03703100) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2020-06-10 |