| NPI | 1245875335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 064410) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04087100) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2023-08-29 |