| NPI | 1861687782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03163100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208384) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2014-08-13 |