| NPI | 1982092748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2010029515) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03134100) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |