| NPI | 1891924288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS46128) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 052574) |
| 183500000X Pharmacist (Licence: NJ 28RI03236900) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2013-02-20 |