| NPI | 1316685209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 067194) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04176900) |
| Enumeration Date | 2022-05-22 |
| Last Update Date | 2022-05-22 |