| NPI | 1104367895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI01613000) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: NJ 28RI01613000) |
| 1835N1003X Pharmacist, Nutrition Support (Licence: NJ 28RI01613000) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: NJ 28RI01613000) | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |