| NPI | 1922385632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28ri03443000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 056201) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |