| NPI | 1114245651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI01569600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0003358) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |