| NPI | 1164707311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02710500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RJ00853) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2022-02-02 |