| NPI | 1942555156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NJ 28RI02049500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 11727) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |