| NPI | 1629121678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 10730) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02183500) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2007-07-08 |