| NPI | 1306072665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03035700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP439666) |
| 183500000X Pharmacist (Licence: MD 16823) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |