| NPI | 1801012380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 25123) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02767700) |
| 183500000X Pharmacist (Licence: NH R1730) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-03-04 |