| NPI | 1407600844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RJ13998) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 070005) |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |