| NPI | 1770893869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 28RI03249200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03249200) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2019-03-27 |