| NPI | 1184014516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03673000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps50290) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2017-07-10 |