| NPI | 1356678635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 046435) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02678100) |
| Enumeration Date | 2009-11-07 |
| Last Update Date | 2012-01-29 |