| NPI | 1750551701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02936400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 055647) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2020-04-23 |