| NPI | 1174751804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03172100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053142) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |