| NPI | 1790093151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 39248) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri02699000) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2020-01-21 |