| NPI | 1497005862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NJ 28RI03512200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03512200) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2014-11-26 |