| NPI | 1174970917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02932000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 047155-1) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |