| NPI | 1881142990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NJ 28RI03813400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP451126) |
| 183500000X Pharmacist (Licence: NJ 28RI03813400) | |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2017-07-10 |