| NPI | 1376984369 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NJ 28RI03367300) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03367300) | 
| Enumeration Date | 2013-07-08 | 
| Last Update Date | 2013-07-08 |