| NPI | 1700212867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03557700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ s021257) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2015-11-30 |