| NPI | 1366774978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02720400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 051256) |
| Enumeration Date | 2010-02-06 |
| Last Update Date | 2010-02-06 |