| NPI | 1396098232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP446510) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03660000) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2016-08-25 |