| NPI | 1710205729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA rp038635r) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri02161100) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |