| NPI | 1164868402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28ri02268500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp040327T) |
| 183500000X Pharmacist (Licence: CA RPH47091) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |