| NPI | 1336733559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI04140500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP455241) |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2024-06-03 |