| NPI | 1861771842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03409800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 055361) |
| 183500000X Pharmacist (Licence: MI 5302036799) | |
| 183500000X Pharmacist (Licence: CT PCT.0011552) | |
| 183500000X Pharmacist (Licence: PA RP445812) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |