| NPI | 1760858724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03736800) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: NJ 28RW02042000) |
| 183500000X Pharmacist (Licence: NY 2006119) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-09-29 |