| NPI | 1760766331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03322300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS45493) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |