| NPI | 1164721817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055135) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03390200) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |