| NPI | 1083847818 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02641300) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 046589) | 
| Enumeration Date | 2009-08-27 | 
| Last Update Date | 2011-08-09 |