| NPI | 1891193421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03434000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 20060067) |
| Enumeration Date | 2014-12-13 |
| Last Update Date | 2014-12-13 |