| NPI | 1013244904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 035146) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 050155) |
| 183500000X Pharmacist (Licence: NJ 28RI03101700) | |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |