| NPI | 1053629998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03105400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19571) |
| 183500000X Pharmacist (Licence: NY 056655) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2017-04-18 |