| NPI | 1063781524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NJ 28RI01930000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 33235) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |