| NPI | 1336761642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI02162100) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25MZ00023200) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2021-03-04 |