| NPI | 1184390320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03808100) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 064014) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |