| NPI | 1487921680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03129800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21476) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2014-08-31 |