| NPI | 1790329209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 123985) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04024300) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |