| NPI | 1164698635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 60326) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03070100) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |