| NPI | 1629448295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 20 062327) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03739700) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2016-09-21 |