| NPI | 1881079135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH028311) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ NJDCATEMP-010358) |
| 183500000X Pharmacist (Licence: SC 35862) | |
| 183500000X Pharmacist (Licence: NY I068575) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2025-08-04 |