| NPI | 1679801427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 38967) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02624800) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |