| NPI | 1285791848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 047771-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ RI02919800) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-01-30 |