| NPI | 1164855912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47254) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02732600) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |