| NPI | 1245513704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02624900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 19566) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |