| NPI | 1124775184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03307700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445397) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |