| NPI | 1962779835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0011403) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03453800) |
| 183500000X Pharmacist (Licence: MA PH232983) | |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |