| NPI | 1073231569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP454959) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04118200) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |