| NPI | 1659818946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP451257) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03838200) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |