| NPI | 1740568542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS35453) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02649800) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |