| NPI | 1790005510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS44147) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03268500) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2011-01-18 |