| NPI | 1548597834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03154100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP443795) |
| Enumeration Date | 2009-11-08 |
| Last Update Date | 2009-11-08 |