| NPI | 1760751838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49876) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03408900) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |