| NPI | 1205149358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03124900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps27099) |
| 183500000X Pharmacist (Licence: DE A1-0003691) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |