| NPI | 1225487275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 062103) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP453118) |
| 183500000X Pharmacist (Licence: NJ 28RI03965000) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2022-05-12 |