| NPI | 1043583271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03323400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056402) |
| Enumeration Date | 2012-02-19 |
| Last Update Date | 2012-02-19 |