| NPI | 1811215767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03099700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14608-040) |
| Enumeration Date | 2010-05-16 |
| Last Update Date | 2010-05-16 |