| NPI | 1033668017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03571000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 060593) |
| Enumeration Date | 2016-10-01 |
| Last Update Date | 2016-10-01 |