| NPI | 1255745923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03606300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0012708) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |