| NPI | 1629296504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI01798600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 033957-1) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-02-21 |