| NPI | 1861715351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 514022) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02956000) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-07-22 |