| NPI | 1154534584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03050700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 051637) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2010-09-07 |