| NPI | 1134591787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 12275-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ RI18569) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |