| NPI | 1295795649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03189100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP045730L) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2010-08-12 |