| NPI | 1366182347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NJ 28RI04234900) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NJ 28RI04234900) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |