| NPI | 1487061412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03518600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23812) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |