| NPI | 1770860108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03246900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 055482-1) |
| 183500000X Pharmacist (Licence: NJ 28RJ01751) | |
| 183500000X Pharmacist (Licence: MA PH27171) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2012-11-28 |