| NPI | 1457877318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 066243) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03868500) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2021-03-04 |