| NPI | 1063794766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055505-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RJ00352) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |