| NPI | 1306124482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03211500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS47392) |
| 183500000X Pharmacist (Licence: NY 7581385) | |
| Enumeration Date | 2011-07-24 |
| Last Update Date | 2012-06-13 |