| NPI | 1154647667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054076-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02769200) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-09 |