| NPI | 1720457955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02522000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 060758) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |