| NPI | 1134421191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03080400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445359) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2011-11-22 |