| NPI | 1104106350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03238100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP442819) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2012-04-27 |