| NPI | 1619375540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 063372) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03682600) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2018-12-06 |