| NPI | 1730242850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03103000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000026675) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-12-14 |