| NPI | 1679993950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02093500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS27772) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |