| NPI | 1285289868 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 65288) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 069932) | 
| 183500000X Pharmacist (Licence: NJ 28RI04229600) | |
| Enumeration Date | 2019-08-09 | 
| Last Update Date | 2023-12-01 |