| NPI | 1578810784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I048117-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02706600) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2013-04-23 |