| NPI | 1144502766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE a1-0003344) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02920200) |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2011-09-10 |