| NPI | 1679843403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03457600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211125) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2018-03-17 |