| NPI | 1912274275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03423800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH020123) |
| 183500000X Pharmacist (Licence: FL PS34949) | |
| 183500000X Pharmacist (Licence: PA RP445377) | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |