| NPI | 1265156830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 068311) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28R104245800) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |