| NPI | 1417172115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02126200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP437925) |
| 183500000X Pharmacist (Licence: DE A1-0003371) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |