| NPI | 1770862880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03393300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445117) |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2011-08-07 |