| NPI | 1235572181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 035800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ RI01866800) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |