| NPI | 1831629955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03751000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 062864) |
| 183500000X Pharmacist (Licence: CT PCT.0013866) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |