| NPI | 1326430372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02106700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202009386) |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2015-02-28 |