| NPI | 1154713006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 058847) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03542400) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |