| NPI | 1275113862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I067632-01) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04140000) |
| 183500000X Pharmacist (Licence: CT PCT.0015481) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-05-17 |