| NPI | 1942261813 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ RI24134) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NJ RI24134) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2019-10-21 |