| NPI | 1124342357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 052472) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03108600) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-04-09 |