| NPI | 1659769651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03681200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23378) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |