| NPI | 1376952192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19582) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03210400) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |