| NPI | 1285899625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS41017) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI0300000) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2009-06-03 |