| NPI | 1174726483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS18310) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 33901) |
| 183500000X Pharmacist (Licence: NJ 16230) | |
| 1835G0303X Pharmacist Geriatric (Licence: FL 2143) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |