| NPI | 1356753099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03353200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP446033) |
| 183500000X Pharmacist (Licence: NY 059011-1) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |