| NPI | 1902355126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03299600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 20 061334) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |