| NPI | 1851725519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 057695) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02556000) |
| 183500000X Pharmacist (Licence: PA RP443222) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |