| NPI | 1386297604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 69705) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03954100) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2026-07-27 |