| NPI | 1063608750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 6623256-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03143400) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |