| NPI | 1194927418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02843300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 25098) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |