| NPI | 1609241942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061238) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03755500) |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2015-12-12 |