| NPI | 1972877181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03157700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03328965) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |