| NPI | 1043602337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH100003002) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: NJ 28RW01525200) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2021-05-14 |