| NPI | 1922319425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 17043) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE a1-0003693) |
| 183500000X Pharmacist (Licence: NJ 28ri03342800) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |