| NPI | 1174119986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04100200) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH235402) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |