| NPI | 1760470272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP438345) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02792500) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-07-08 |