| NPI | 1083012637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03540100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 057612) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |