| NPI | 1396073458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02093300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 20052422) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2010-06-15 |