| NPI | 1518475409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 065016) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03888600) |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2020-05-06 |