| NPI | 1225405285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062723) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03730400) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2018-02-05 |