| NPI | 1912220815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 051988) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03195100) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |