| NPI | 1265808448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 060882) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03776800) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2020-11-29 |