| NPI | 1790176584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03869400) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: NJ 28RW02093400) |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2018-03-17 |