| NPI | 1477153047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03956400) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP453289) |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2020-10-31 |