| NPI | 1174744023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03045900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 047322) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |