| NPI | 1265860704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0012778) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03553300) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |