| NPI | 1609142413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055274) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03174300) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |