| NPI | 1033646013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I042917) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28rj07133) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |