| NPI | 1144823279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04092200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 063064) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |