| NPI | 1770021693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 1161040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI01855400) |
| Enumeration Date | 2017-02-11 |
| Last Update Date | 2017-02-11 |