| NPI | 1770980740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45952) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS38127) |
| 183500000X Pharmacist (Licence: NJ 28RI02914800) | |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |