| NPI | 1295916799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03417800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 048678) |
| 183500000X Pharmacist (Licence: NJ 28RJ06106) | |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2023-10-10 |