| NPI | 1356612477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03427600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445642) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |