| NPI | 1699116798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 059959) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03473200) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2015-12-31 |