| NPI | 1255730883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 15503) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02675200) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |