| NPI | 1003214024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28ri03069300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 047967-1) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2015-07-08 |