| NPI | 1376184952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY I066569) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI04054800) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-11-23 |