| NPI | 1700364346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03945500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS57963) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |