| NPI | 1912332966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 040540) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28r102232900) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |