| NPI | 1912094608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 039797) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI01992800) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |