| NPI | 1891079109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP442947) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19678) |
| 183500000X Pharmacist (Licence: NJ 28RI03228400) | |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |