| NPI | 1659551646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP439416) |
| Additional Taxonomies | 1835P1300X Pharmacist Psychiatric (Licence: NJ 28RI02972300) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2012-08-15 |