| NPI | 1841573714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03400900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0011847) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2018-06-26 |