| NPI | 1912344565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 53177) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03535900) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-09-06 |