| NPI | 1942507652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 055455) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03409000) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2013-07-23 |