| NPI | 1508188020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03124400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053423) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |