| NPI | 1073998696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 069146) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 021110) |
| 183500000X Pharmacist (Licence: NJ 28RI03780300) | |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2023-08-28 |