| NPI | 1891115382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 059045) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28r103590500) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |