| NPI | 1760795348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28ri03288400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053748) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-23 |