| NPI | 1093187759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 063669) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03723700) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2019-07-04 |