| NPI | 1326642679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04418700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 066497) |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2025-01-23 |