| NPI | 1770009094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RIO1752200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI01752200) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |