| NPI | 1740535350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 052334) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02984900) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |