| NPI | 1598045510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA rp445650) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03431100) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |