| NPI | 1366090045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 066315) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03324800) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2026-06-08 |