| NPI | 1386966612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03296200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 4016) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |