| NPI | 1588905491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057795) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28rj04382) |
| 183500000X Pharmacist (Licence: FL PS50246) | |
| 183500000X Pharmacist (Licence: CT PCT.0012460) | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2015-02-08 |