| NPI | 1477763084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 6814) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP043690L) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |