| NPI | 1225167299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI01716100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP030978L) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2009-09-14 |