| NPI | 1346425154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02132600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 041834-0) |
| 183500000X Pharmacist (Licence: VA 0202207838) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |