| NPI | 1861738155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03521600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 057602) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |