| NPI | 1306221205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 060198) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03695100) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |