| NPI | 1366921116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 61104) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03723300) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-11-03 |