| NPI | 1275680613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 047177) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI02575200) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-02-28 |