| NPI | 1881086171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02243500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302024148) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |