| NPI | 1508236407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 22854) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03580200) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |