| NPI | 1649448168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28R102537000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS37532) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |