| NPI | 1013338169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 046014) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 26RI02060100) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |