| NPI | 1598087637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28kj03291800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053547) |
| 183500000X Pharmacist (Licence: CT PCT.0014041) | |
| 183500000X Pharmacist (Licence: TX 58090) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2021-11-05 |