| NPI | 1609926443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP044713L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03031100) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |