| NPI | 1942670245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23207) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449198) |
| 183500000X Pharmacist (Licence: NJ 28RI03512800) | |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2020-01-11 |