| NPI | 1790228914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28ri03828600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28rj06938) |
| Enumeration Date | 2016-11-19 |
| Last Update Date | 2016-11-19 |