| NPI | 1013451376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03824600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0013756) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |