| NPI | 1487914156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RJ03246600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302037157) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |