| NPI | 1639451453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02746700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RJ00016) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |