| NPI | 1639419526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 031626-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02535200) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |