| NPI | 1780809988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI01565500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP-030979-L) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |