| NPI | 1902131782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28ri03352400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 053799) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2017-05-19 |