| NPI | 1386081693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 061284) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03452000) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2022-05-17 |