| NPI | 1063027795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04114100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP455280) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2022-09-02 |