| NPI | 1265297055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04093000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP453832) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |