| NPI | 1487998845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057269) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03534700) |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2013-02-18 |