| NPI | 1902259427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061796) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03772500) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |