| NPI | 1902129133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 20050724) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 02932200) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2011-06-14 |