| NPI | 1023609914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03105700) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: NJ 28RI03105700) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |