| NPI | 1861769689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02471100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RJ00382) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |