| NPI | 1174299416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03153900) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 20142) |
| 183500000X Pharmacist (Licence: NY 060372) | |
| 183500000X Pharmacist (Licence: VA 0202208782) | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |