| NPI | 1790008662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 041791-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02129600) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |