| NPI | 1730364597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055249) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03270300) |
| 183500000X Pharmacist (Licence: FL ps38302) | |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2018-12-27 |