| NPI | 1780995217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 054446) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03205700) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2011-08-09 |