| NPI | 1043653850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057790) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03511500) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2019-05-07 |