| NPI | 1477071215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03524700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449698) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |