| NPI | 1164308367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 064042-01) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03722900) |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |