| NPI | 1245634351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 049123-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02533800) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2021-04-23 |