| NPI | 1538441050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055347) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03216700) |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2016-09-08 |