| NPI | 1770189466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 68517) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03038300) |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2023-01-04 |