| NPI | 1477822302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 285RI0287660) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP042137L) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |