| NPI | 1295169712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP441662) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02739200) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |