| NPI | 1932709722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02850800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP045325L) |
| 183500000X Pharmacist (Licence: DE A1-003145) | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |