| NPI | 1023499399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 039512-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02685100) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |