| NPI | 1518289644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT9816) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03176400) |
| 183500000X Pharmacist (Licence: NY I051616) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |