| NPI | 1073807160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02559500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RJ03134) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |