| NPI | 1871842559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03517100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RJ04309) |
| 183500000X Pharmacist (Licence: PA RP446994) | |
| 183500000X Pharmacist (Licence: PA RPI006489) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |