| NPI | 1427364454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03300500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RJ01021) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2013-01-23 |