| NPI | 1053840637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03716100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS53801) |
| 183500000X Pharmacist (Licence: NE 15474) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |