| NPI | 1134422413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03147600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 054233) |
| 183500000X Pharmacist (Licence: IL 051295532) | |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2013-06-28 |