| NPI | 1407082142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 053413) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RJ02960100) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2020-01-27 |