| NPI | 1144766205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 059592) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03777000) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |