| NPI | 1366764961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12049) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 14686) |
| 183500000X Pharmacist (Licence: NJ 28RI02465100) | |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2015-12-23 |