| NPI | 1649788738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0014160) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03874000) |
| 183500000X Pharmacist (Licence: SC 37470) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |