| NPI | 1083472492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 067913) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04117000) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |