| NPI | 1306304779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 65589) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04004600) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2023-01-18 |