| NPI | 1326038480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RIO1644200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A10003056) |
| 183500000X Pharmacist (Licence: PA RP044641R) | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2014-10-29 |