| NPI | 1548609282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03500200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP447273) |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2015-04-30 |