| NPI | 1083051916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02726100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS T-12349) |
| Enumeration Date | 2013-06-01 |
| Last Update Date | 2013-06-01 |