| NPI | 1184193336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03949100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP452796) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2020-07-05 |