| NPI | 1548685480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03619300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR rph-0016596) |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2018-08-08 |