| NPI | 1225369853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 15121) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ RI02333800) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |