| NPI | 1396290219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI01598800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP033821R) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |