| NPI | 1174286686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S023897) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 1051572) |
| 183500000X Pharmacist (Licence: NJ 28RI02873500) | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-21 |