| NPI | 1194170233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NJ 28RI03650000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 059278) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |