| NPI | 1366723942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03280700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S013419) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |