| NPI | 1114303138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 059885) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RJ05914) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2016-04-06 |