| NPI | 1558771212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS42707) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03623900) |
| Enumeration Date | 2014-05-04 |
| Last Update Date | 2014-05-04 |