| NPI | 1336454735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03104300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3379) |
| 183500000X Pharmacist (Licence: VT 033.0003795) | |
| 183500000X Pharmacist (Licence: MD 16995) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |